Bricon-Souf N, Beuscart-Zéphir M C, Watbled L, Anceaux F, Beuscart R
CERIM, Université de Lille 2, Faculté de Médecine.
Stud Health Technol Inform. 2002;90:729-33.
TELECOS is a regional project whose ambition is to use new cooperation tools, in the context of homecare, in order to facilitate the coordinated cooperative work of health actors. Homecare can improve the quality of life for the patient and reduce costs but it also induces a lot of difficulties during organisation and care. We aim at knowing more about the activity of cooperation in the homecare context and proposing a cooperation platform which answers to the specific needs generated during homecare and which integrates new applications. In this paper, we present the results of our study of homecare. The activity analysis leads us to determine two specific processes: one concerns the implementation of human and material resources and design of the homecare protocol (the logistics process) and the other concerns the coordination of the healthcare actors during effective homecare (the care process). The first process is composed of five main phases during which an healthcare professional is required as coordinator. We then present the Worklow model used to represent the cooperation activity in homecare. We describe the activity: the tasks and subtasks are represented in a declarative way. We then briefly present our prototype, devoted to homecare management, implementing the different phases of the information process, developed in JAVA.
远程护理是一个区域性项目，其目标是在家庭护理背景下使用新的合作工具，以促进卫生行动者的协调合作。家庭护理可以提高患者的生活质量并降低成本，但在组织和护理过程中也会引发诸多困难。我们旨在更深入了解家庭护理背景下的合作活动，并提出一个合作平台，该平台能满足家庭护理期间产生的特定需求，并整合新的应用程序。在本文中，我们展示了我们对家庭护理研究的结果。活动分析使我们确定了两个具体流程：一个涉及人力和物力资源的实施以及家庭护理协议的设计（物流流程），另一个涉及有效家庭护理期间医疗保健行动者的协调（护理流程）。第一个流程由五个主要阶段组成，在此期间需要一名医疗专业人员担任协调员。然后我们展示了用于表示家庭护理中合作活动的工作流模型。我们描述了活动：任务和子任务以声明方式呈现。然后我们简要介绍了我们专门用于家庭护理管理的原型，它实现了在JAVA中开发的信息流程的不同阶段。
